D. Cruz et al., Measuring beyond the microscope field of view using digital images in squamous cell carcinoma of the lip, ANAL QUAN C, 23(4), 2001, pp. 245-250
Citations number
11
Categorie Soggetti
Medical Research Diagnosis & Treatment
Journal title
ANALYTICAL AND QUANTITATIVE CYTOLOGY AND HISTOLOGY
OBJECTIVE: To study the impact of using digital images for measuring the si
ze of the tumors, assisting with the prognostic evaluation of carcinomas of
the oral mucosa.
STUDY DESIGN: The depth of invasion of 12 cases of squamous cell carcinoma
of the lower lip was assessed through a microscope and through digital imag
es. All measurements of depth of invasion were assessed in a direction orth
ogonal to the lip surface. First, assessment of depth of invasion was done
at the microscope, using an eyepiece reticule with an engraved scale. Secon
d, depth of invasion was assessed by digital images, using a program module
developed to assist pathologists with linear measuring. When the depth of
the tumor was larger than the field of view at the proper magnification, se
veral images were taken to include the whole area of invasion. The images w
ere finally mounted in a single image and the depth of invasion measured.
RESULTS: The results show positive and negative differences between assessm
ents when assessing depths of < 2 mm. At greater depths ( greater than or e
qual to 2 mm), the difference was always negative, showing that for deep in
vasion, measurements of longer distances were always performed on digital i
mages.
CONCLUSION: Measurements with digital images beyond the field of view at pr
oper magnification could significantly alter the diagnostic and prognostic
assessment made using the microscope.